A randomised controlled trial to assess satisfaction with the levonorgestrel-releasing intrauterine system inserted at caesarean compared to postpartum placement

Braniff, Kathleen, Gomez, Edmund, and Muller, Reinhold (2015) A randomised controlled trial to assess satisfaction with the levonorgestrel-releasing intrauterine system inserted at caesarean compared to postpartum placement. Australian and New Zealand Journal of Obstetrics and Gynaecology, 55 (3). pp. 279-283.

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Abstract

Background: Insertion of levonorgestrel-releasing intrauterine system (LNG-IUS) at caesarean section (CS) provides contraception prior to resumption of ovulation or sexual activity. Patient satisfaction with insertion at CS has not previously been studied.

Aims: The aim of this study was to compare patient satisfaction with LNG-IUS inserted at the time of lower uterine segment CS to six weeks postpartum.

Materials and Methods: Open-label randomised controlled trial. Women booked for elective CS were randomised to LNG-IUS insertion either at the time of CS (study group) or at six weeks postpartum (control group). The primary outcome measure was patient satisfaction. Outcomes were measured at six weeks, three months and six months postpartum.

Results: Forty-eight women were randomised into two treatment groups. Twenty-five women were randomised to have LNG-IUS inserted at the time of CS, 23 of whom had the planned intervention and two had the LNG-IUS inserted postpartum. Twenty-three women were randomised to the control group, four of whom withdrew prior to treatment. The 44 remaining women contributed to data analysis. Patient satisfaction was high and similar in both groups. At six months postpartum, 90.5% of the study group were very satisfied or somewhat satisfied compared with 88.2% of the control group.

Conclusions: Patient satisfaction is high with LNG-IUS insertion at CS and not different to that with delayed insertion. LNG-IUS insertion may be an option for women who find postpartum contraception difficult to access.

Item ID: 39486
Item Type: Article (Refereed Research - C1)
Keywords: caesarean section, intrauterine devices, medicated, levonorgestrel-releasing intrauterine system, patient satisfaction, postpartum period
Additional Information:

© 2015 The Authors. Australian and New Zealand Journal of Obstetrics and Gynaecology published by Wiley Publishing Asia Pty Ltd on behalf of Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

ISSN: 1479-828X
Funders: Mackay Hospital and Heath Service Private Practice Fund
Date Deposited: 22 Jul 2015 03:20
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1114 Paediatrics and Reproductive Medicine > 111402 Obstetrics and Gynaecology @ 100%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920507 Womens Health @ 100%
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